2001, 12-12 Permit App: 01010776 Pole Bldg Project Number: 01010776 Inv: 1 Application Date: 12/12/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 40 POLE BUILDING Contact: JONES,ERIC S
Address: 13414 E SANSON RD
C-S-Z: SPOKANE,WA 99216
Setbacks: Front 60 Left: 100 Right: 50 Rear: 100 Phone: (509)922-2996
Group Name:
Site Information: Project Name:
Plat Key: 002861 Name: WEST FARMS IRRIGATED TRPLAT#4 District: H
Parcel Number: 46344.0203 Block: 106 Lot:
SiteAddress: 13414 E SANSON RD Owner:Name: JONES,ERIC S
SPOKANE,WA USA 99216 Address: 13414 E SANSON RD
Location:: SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: 001 TRENTWOOD Hold: ❑
Area: 3.65 Acres Width: 680 Depth: 210 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
ai
R
eview In orm ton
f
Review
Site Plan Re iew
Plan Review Released By: ;� 1 't ji i fki C--,_
C'
Septic System Review ele�se(i By:1,1.L.'
?f 4/ � y �r
Permits:
Operator: RMB Printed By: RMB Print Date: 12/12/2001
•
Project Number: 01010776 Inv: 1 Application Date: 12/12/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 17 Stories: 1
Bldg W x D: 30 x 40 Building Sq Ft: 1200 Sprinklers:
Req Parking: 0 Handicap Parking: 0 Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,200 $14,400.00 1,200 $14,400.00
Totals: 1,200 $14,400.00 1,200 $14,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $225.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $49.61
Permit Total Fees: $279.61
Payment Summary __ _.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $279.61 $279.61 $0.00 $279.61
$279.61 $279.61 $0.00 $279.61
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not he contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 12/12/2001
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
_ = SPOKANE,WA 99260
509-477-3675
SPOKE CourY
SPECIFIC SITE INFORMATION
Street Address:
E 13LIIt
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
fkBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation In Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front: Rear.
School District. Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
�}y
Indira/e Who should he ronlueled regarding/hi..per je s
R.Owner: Phone: '2Z-9q ❑ Applicant: Phone:
Efl 3 4.1— las: Fax:
Mailing Address: Mailing Address:
g 13 1-0-1 s
City,State,Zip City,State,Zip
12.— LAA 2. (c,
❑Contractor //__ Phone 9Z7 q/ 413 ❑ Architect:'l�.ngineer Phone
"p �Y� C IArS 7—O ) uClVl Fax T Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #ofstones Main floor sq.tt. Unfinished basement sq.ft.
QX440
Dimensions Total habitable space 2'r1 floor sq.ft. Finished basement sq. tt.
Occupancy group Construction tape Garage sq.fr. Deck sq. tt.
Cost of project I Icat source(electric,gas.etc.)
Manufactured Home Sign'
Width: Length: What is the squatire footage of the sign Now high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? AI Yes ❑ No What is the current property size?
Ifyes,edenqj,on site plan (square feet or acres) 3. 3 I ev-e s
Is any part of the property within 250 feet of a shorelne? What is the current use of this property?�
If yes,idents on site plan CI Yes A 1 "No �$IOVeNte
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes At No
❑Don't know ❑ Yes El No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan I f yes,identify on the site plan ❑ Yes El No
❑Maybe ❑Don't know ❑ Yes ;Rt.No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identify on site plan ❑ Yes 11I No ❑ Yes XI No
Are there slopes greater than 30°0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( _°'s) ❑ Yes No ❑ Yes `® No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes 0 No
❑ Yes 0 N
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? Cl Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
CI Yes 0 N
Date Received: Staff Representath e:
METHOD OF PAYMENT
'ICOVE SUB'1'O'1'Al,
VISA
❑ CAS!I k CI ll CK 0 0 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
\PIRI?S: TOTAL FEE
B:\NKC.\RD NU VBI.R: MINIMUM PERMIT FEE IS$35.00PLEASE
AKE CHECKS PAYABLE TO SPOKANE
\U7'I loRl/.I?D SIGN.A'I l'Rl:: COUNTY PERRMITCEN'I'ER
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